Aborto incompleto como factor de riesgo para la morbilidad materna grave
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El aborto incompleto es la interrupción de la gestación, asociado a la falta de expulsión
de restos placentarios, se acompañan de hemorragia, el objetivo es diseñar una propuesta
de prevención del aborto incompleto para reducir la frecuencia de morbilidad materna en
pacientes atendidas en el Hospital Gineco obstétrico Ángela Loayza de Ollague. Se
realizo una investigación cuantitativa, estudio transversal. La población de estudio fueron
157 mujeres embarazadas con diagnóstico de aborto incompleto. Resultados: Existe
correlación de la edad, el tiempo desde el inicio de síntomas y de recibir atención médica
con las complicaciones. Son pacientes de 20 a 24 años de edad, le sigue las de 25 a 29
años de edad, tienen el 63.7% de 6 a 10 semanas de gestación, la etnia en el 98.7% son
mestizas, proceden en el 72% del área urbana; los factores de riesgo el 31.8% de las
mujeres si usaron misoprostol, el 38% tuvieron aborto anterior, el 100% sin problema
obstétrico, el 35% tuvieron patología asociada que son anemia e infección de vías
urinarias, quiste de ovario y sangrado, el tiempo desde el inicio de síntomas y de recibir
atención médica, fue de 1 a 7 días, y otro grupo fue atendido en menos de 5 horas; el 5.7%
tuvieron complicaciones de aborto de restos placentarios, anemia entre leve y moderada,
en menor porcentaje anemia severa y shock hipovolémico. Se concluye: Existe
correlación de la edad con las complicaciones como: restos placentarios, anemia entre
leve y moderada y shock hipovolémico, además de la correlación entre el tiempo desde
el inicio de síntomas y de recibir atención médica, con las complicaciones de aborto.
Incomplete abortion is the termination of pregnancy, associated with the lack of expulsion of placental remains, are accompanied by hemorrhage, the goal is to design a proposal of incomplete abortion prevention to reduce the frequency of maternal morbidity in patients treated at the Ángela Loayza de Ollague Obstetric Gynecological Hospital. He I perform a quantitative research, cross-sectional study. The study population were 157 pregnant women diagnosed with incomplete abortion. Results: There correlation of age, time since onset of symptoms and receiving medical attention With the complications. They are patients from 20 to 24 years old, followed by those from 25 to 29 years old, have 63.7% of 6 to 10 weeks of gestation, ethnicity in 98.7% are mestizas, they come in 72% of the urban area; the risk factors 31.8% of the women if they used misoprostol, 38% had previous abortion, 100% without problem obstetric, 35% had associated pathology that are anemia and infection of the pathways urinary, ovarian cyst and bleeding, the time since the onset of symptoms and receiving medical care was from 1 to 7 days, and another group was treated in less than 5 hours; 5.7% had complications of abortion of placental remains, mild to moderate anemia, to a lesser extent severe anemia and hypovolemic shock. It concludes: There is Age correlation with complications such as placental remains, anemia between mild and moderate and hypovolemic shock, in addition to the correlation between time since the onset of symptoms and receiving medical attention, with the complications of abortion.
Incomplete abortion is the termination of pregnancy, associated with the lack of expulsion of placental remains, are accompanied by hemorrhage, the goal is to design a proposal of incomplete abortion prevention to reduce the frequency of maternal morbidity in patients treated at the Ángela Loayza de Ollague Obstetric Gynecological Hospital. He I perform a quantitative research, cross-sectional study. The study population were 157 pregnant women diagnosed with incomplete abortion. Results: There correlation of age, time since onset of symptoms and receiving medical attention With the complications. They are patients from 20 to 24 years old, followed by those from 25 to 29 years old, have 63.7% of 6 to 10 weeks of gestation, ethnicity in 98.7% are mestizas, they come in 72% of the urban area; the risk factors 31.8% of the women if they used misoprostol, 38% had previous abortion, 100% without problem obstetric, 35% had associated pathology that are anemia and infection of the pathways urinary, ovarian cyst and bleeding, the time since the onset of symptoms and receiving medical care was from 1 to 7 days, and another group was treated in less than 5 hours; 5.7% had complications of abortion of placental remains, mild to moderate anemia, to a lesser extent severe anemia and hypovolemic shock. It concludes: There is Age correlation with complications such as placental remains, anemia between mild and moderate and hypovolemic shock, in addition to the correlation between time since the onset of symptoms and receiving medical attention, with the complications of abortion.
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Aborto incompleto, Morbilidad materna, Hospital Gineco Obstétrico Angela Loayza de Ollague, Cantón Santa Rosa, Ecuador